- Видео 6
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sightsurgeon
Великобритания
Добавлен 7 дек 2010
Channel of Mr Mahesh Ramchandani, Consultant Ophthalmologist at University Hospitals Dorset, The Royal Bournemouth Hospital NHS Foundation Trust
Specialist in Glaucoma and Cataract Surgery. The channel describes common eye conditions and their management.
Specialist in Glaucoma and Cataract Surgery. The channel describes common eye conditions and their management.
Posterior capsule opacity (PCO) after cataract surgery, on slit lamp eye examination, for laser
Typical appearance of moderate posterior capsule opacity (PCO) on slit lamp examination of an eye. This developed 2 years following successful cataract surgery. YAG laser capsulotomy was planned. Patient presented with symptoms of glare and blurred vision after having clear vision after cataract surgery
By Mahesh Ramchandani, consultant ophthalmologist
By Mahesh Ramchandani, consultant ophthalmologist
Просмотров: 11 207
Видео
Laser Iridotomy the works, Mahesh Ramchandani explores all about laser for angle closure glaucoma
Просмотров 38 тыс.2 года назад
Understand all about YAG laser iridotomy. Time codes 0:00 Introduction 0:27 What is angle closure glaucoma, animated mechanism, difference to open angle glaucoma 2:12 Who is at risk of developing angle closure glaucoma 3:02 Clinical presentations of angle closure or narrow angles 3:49 The eye clinic appointment slit lamp examination and gonioscopy 4:20 The laser procedure preparation and applic...
Selective laser trabeculoplasty SLT, glaucoma treatment
Просмотров 50 тыс.3 года назад
What is selective laser trabeculoplasty or SLT ? How dos it work and how is it carried out ? The video discusses all about this new glaucoma treatment, its effectiveness and the science and research behind its use. It looks at the findings of Moorfields Eye Hospital LIGHT Trial and when SLT should be used. Other videos at ruclips.net/video/hqpG5h0ayqM/видео.html you tube channel sightsurgeon we...
Ahmed Glaucoma Drainage Tube
Просмотров 4114 года назад
A short clip of an Ahmed glaucoma drainage tube. This is valved with a flow restrictor to prevent over drainage causing very low eye pressure. visit sightsurgeon.co.uk or you tube channel: sightsurgeon
Baerveldt 250 glaucoma tube
Просмотров 8784 года назад
Example of a Baerveldt 250 Glaucoma Drainage Tube for refractory glaucoma see also: www.sightsurgeon.co.uk you tube channel: sightsurgeon
istent for glaucoma
Просмотров 10 тыс.13 лет назад
New treatment for glaucoma. The istent is a drainage device or tube inserted into the anterior chamber or front part of the eye. It is particularly suitable for patients with cataract and glaucoma.
Jones Susan Hernandez Melissa Hernandez Steven
Great video and explanation of the procedure.
Since the procedure was done i have massive glare in my peripheral vision which bothers me a lot. My doctor said there were no downside of this procedure which is not true. Anyway a doctor who has high credit may try to color my cornea to reduce its side effect. I can't adapt it like it is mentioned in the video. And not just in cinema but working in front of the computer is also challenging. I also have headache when i exposed to sunlight.
How is it now? Better?
Great information, covers everything. Thank you.
Good information that l need it
Excellent advise very resureing
Best animations!
Can a patient having metal cap in the teeth can undergo this surgery?
Probably. I wasn't asked to remove my earings or anything metallic, nor take out my smartwatch or anything so I'm sure you'll be fine
Best video out of 1000 videos i have watched to understand this correct concept.The main thing that helped me to understand was the animation part and your simple explanation! Thanks alot !
Is iridotomy as effective as lens extraction?
Nice explanation!
Hi everyones i had a question if you have a Angle closure and Aqueous humor Doesn't flow from posterior to anterior chamber does it effect your vision? If yes And Has laser iridotmy did the Vision improve ?
Very informative. Appears you’ve covered everything.
I had laser iridotomy performed on both eyes on Friday. My eye pressures were normal and I had no issues, but my angles were rated a grade 1 and the trabecular meshwork could not be seen in any quadrant. The risk of an acute angle closure attack was high. I have brown eyes so was warned that several laser shots might be needed, as the irises are thicker in dark eyes. I was also warned that there could be some bleeding as the blood vessels cannot be seen in dark eyes... The procedure was very straightforward. It felt like someone was flicking my eye, but it wasn't painful. I had 2 shots in each eye and there was no bleeding. I had been warned of blurry vision from the pupil constriction drops and a headache, but did not have either of these problems. You would not know I had anything done to my eyes as they looked completely normal - not even a hint of pink! I'm now 2 days post treatment and my right eye is a little achy and feels a bit "gritty". I have developed a horizontal white line in certain conditions - initially, it was only when I was driving in the dark, but I discovered this morning that it appears when driving in bright sunshine too. It doesn't obstruct my vision, it's more of an annoyance. When it first appeared yesterday, I thought I had a hair on my face and I spent some time trying to remove the hair. Hopefully my brain will get used to it over time and I'll be able to ignore it. Like I say, it doesn't hinder my vision in any way, I'm just aware that it is there...
I have the same lines as you have. Very annoying. On the top of that some of the doctors said there were no connection between the proceure which obvious a lie. My brain hasn't adapted since last year so may be my cornea will be painted.
@@SmallFrancis-vd3tc I'm now 8 months down the line and my brain has adjusted. I don't notice the lines when I'm driving at night anymore, or watching a show at the Theatre. It's definitely a side effect of the procedure - they can put tattoos over the holes if it doesn't improve for you.
Will oral propranolol help in angle closure glaucoma
I thought long sighted people (hyperopes)needed glasses to see up close?
You're right, I'm long sighted and I do wear glasses to see up close but I don't need to wear them permanently like short sighted people do.
Abe tum doctor logo khud chashma pehnte ho aur logo ki zindagi kharab kar dete ho is procedure k baad muje akho me glares dikh re h white lines h ye bot bakwaas cheeze h ise bdia to bc Mai glaucoma se andha ho jata wo Sai tha
The thickness of the iris does not depend on the iris color. Iris thickness can vary from person to person and may be influenced by genetic and physiological factors, but it is not specifically tied to the color of the iris. People with eyes of any color, whether they are brown, blue, green, or any other shade, can have irises that vary in thickness.
I'm going to have LPI this tuesday (Sept 19th 2023). This video put my mind at ease. Thank you!
How are you since your surgery? I’m due to have mine done in November and I’m a little nervous.
Thank you
Thank you
Great presentation
Thank you for this information
Well explained!
I wrote my first referral for a pco yesterday and jumped in here to confirm if it really was. I'm glad this is it, although my patient's wasn't this bad as vision was still 6/9-2
are you a newly qualified optom?
extremely informative. Thank you
Hi, There is an issue with the left eye ,I can't see clearly It is not painful but it only gets dry in the morning and in the daytime the eyes get wet ,what is the advice you will advise on this issue,
Thanks for watching 😑🤪
hello doctor, I did peripheral iridectomy for an icl surgery I noticed a line after the surgery that goes up and down as I constrict my eye? is it normal?
Same I am facing the same issue are you also facing the visual disturbance because of this . What solution doctor have suggested to you to get rid I am also facing double vision and ghosting images in my eyes .
@@rishabhdatta6991 my doctor suggested for me an iris suture but am afraid I get my vision even worse, god help us
It’s scary! I’m scared to loose my vision 😔😢there is always the risk with any surgery. Unfortunately, I would not avoid this surgery. I wish the technology will be advanced to fix it and restore our visions. 🙏
Glaucoma is no longer defined merely as raised eye pressure. Studies on normal tension glaucoma patients indicate that eye pressure can quite frequently be in the normal range. Use of IOP to define glaucoma is an outdated concept.
Is this dangerous?
I'm a really technical guy AMD like to be well informed so this video gave me all the detail i was looking for including, how everything works in a healthy eye, how my eye is different, what the procedure hopes to achieve, how it hopes to achieve it and what might be the consequences of doing it, and not doing it. Perfect
I’ve just had both my eyes laser because my eye pressure was at 40 in both eyes and I had eye narrow angle! I only went to the optician for some new lenses in my sunglasses! I commend the optician who found this.
Thank for your thorough and easy to understand explanation of the diagnosis, symptoms, procedure and “what ifs”. I feel much better and well informed for my upcoming iridotomy.😊
U explained so well. Thank you
Thank you so much !! this was very enlightening !!!!
Thank you Dr so much 🙏🙏🙏🪷🪷🪷🙏🙏🙏
Thanks for this. I have narrow angles (picked up by Optitian appointment) and am scheduled for Laser Iridotomy next week at Southampton. You video and precise commentary has put my mind at rest as to the actual proceedure and possible side effects. I was thinking of not having this proceedure but after viewing this I'll go ahead with it now.
May Allah SWT ❤️🕋 Bless your Eyes with good health Aameen Sum Aameen 🤲🕋
How did it go mate?
@MrVibeless Well, had the right eye done - no problems. A couple of months later had the left eye done - didn't seem to take as long and very little laser light in the eye compared with the veritable light show I experienced with the right eye procedure. Visited my optician some weeks later and she couldn't see a hole in my left Iris. I've decided to leave well alone and not to ave it re-done - no issues so far and I'm monitored regularly at the Eye clinic. As far as the laser procedure goes - nothing to worry about.
@@stratpac im glad your ok. Do you experience any difference in your vision at all now?
Great explanation in words and pictures.I had a YAG Laser Iridotomy last week in Munich.Now I do understand it much better.Thank you👌🏻
I had YLI performed in both eyes six years ago. My Dr placed the holes at 3/9 o’clock positions so they are always fully exposed when my eyes are open. The excess light has drastically impaired my eyesight and almost completely removed my ability to drive at night when oncoming traffic is involved. I have star bursts around intense lights, diagonal light lines across my field of vision, double vision/stacked images of backlight/electronic images, extreme light sensitivity (pretty much every light in the house is set to 50-80% reduction) which leads to constant squinting and headaches, and my visual acuity varies wildly depending on light level. For the first two years any bright room looked like there was fog or smoke gathering at the ceiling. It’s been a total nightmare, and ruined several of my favorite hobbies and distractions. I still can’t watch tv comfortably. The procedure was extremely painful, I lost count somewhere around the 30th bolt of lightening she zapped into one eye. I have no idea how many zaps it should have taken. Every eye Dr who has seen my eyes since looks completely stunned when they see the placement. At the time of the procedure there apparently was some debate on what proper location should be. Have they changed their mind and decided there is actually a higher risk of side effects with under-lid locations or is this still left up to the Dr’s choice? Has anyone found a way to do revisions or mitigate disastrous side effects when they do happen? One Dr had me try color contacts to try to act like sunglasses over the holes but there just wasn’t enough ink in the contact where my laser holes are located.
I am so very sorry to learn of your iridotomy outcome. I had a bad outcome too but not because the holes are in the wrong place. My holes are well under my eyelid. I was left with eye pain in one of my eyes. I too have had to give up most of my activities and hobbies. My driving is extremely limited due to the pain of focusing and seeing. I rarely leave home. But I am not light sensitive and my vision was not effected except for the pain. Was your colored lens custom made for you? In my search to find something to help reduce my eye pain I looked into getting a blackout contact made. It is my understanding that a lens can be painted so it blocks out all light. I had 9 laser holes in my left (painful) eye and 7 in my right eye. My right eye has no pain. I contacted the manufacturer of the laser machine and they have no record of an outcome like mine. None of the 6 eye specialists I have seen have ever had a patient with the same outcome. I understand how upsetting it is to be left with such a terrible problem from a treatment that was supposed to help you. Best wishes.
@@marlainehysell5989 Have you been evaluated for Optic Neuritis or NMO? I’ve had ON multiple times in both eyes since the surgery. I also developed an autoimmune disorder that attacks the myelin sheath around my nerves shortly after the surgeries. My neurologist said it’s common for stressors like severe illness surgery to trigger autoimmune disorders as an overzealous healing response to the trauma. NMO is an autoimmune disease that specifically attacks the optic nerves with repeated episodes of severe Optic Neuritis. A Neuro Ophthalmologist would be able to test for optic nerve damage better than a regular Ophthalmologist. They can often order the blood tests required for NMO, or they may refer you to a Neurologist for that testing. My doctor did try typical colored contacts but the color doesn’t extend dark enough far enough to cover the holes. They did discuss creating larger contacts (Sclera contacts?) but it was too expensive and my insurance wouldn’t cover it. It may be worth asking again now that I have different insurance. I kind of forgot about it because I had so much else start happening (like recurrent optic neuritis) that made it necessary to change my whole environment (black out curtains, much lower/dimmer lighting, avoidance of backlight electronic devices, etc). Now that my autoimmune stuff is under better control and I can handle more normal levels of indoor light exposure it’s probably time to revisit the contacts idea.
Which type of contact lenses will help to eliminate this glare issue can we wear contact lenses regularly Or scleral lenses can solve this issue ?
@@rishabhdatta6991 my eye dr had the ability to have custom color “tattooed” (the word he used) onto sclera lenses to try to cover the hole. For me, regular colored contact lenses didn’t have color far enough to reach mine. So we were going to add color just over that area, like sunglasses for the hole, but leave the rest of the lens clear. Yours might be different. We can safely wear contacts after having this procedure, but there may be a short wait time immediately after (maybe two weeks?) to allow for healing.
@@selahr. which contact lense are you using like hard or soft contact lenses . Also wanted to know that have you considered of surgery of corneal tattooing or iris sutchring for that part also wanted to know that scleral lenses can be tinted from that part to cover that hole
Thank you. I underwent this procedure thee years, and it worked wonders. And you have answered the questions I didn't think to ask at the time.
I was so afraid of the laser iridotomy coz I was diagnosed with angle closure glaucoma. Thank you, Doctor for the video. Very informative.
How did it go mate? I've got to have it done soon. Did you have any surprising after effects?
Hi , when you had the angle closure did it effect your vision plz?
THANKS DEAR NETHERLAND WITH LOVE
Plz translet in hindi.
Try google translate
May I ask, I have a floater after a sub acute event, and am due to have the laser treatment in a few weeks, will the floater disappear?
Dr WINA on RUclips. ruclips.net/channel/UCLdMmK0VN_tquimOG-9t7Dw
It's so crazy the pharmaceutical companies here want us to keep buying their drugs, they never want us to know that here is a cure
Dr Mahesh .. Thank you very much for this valuable information . Very nicely presented
Thx for the informative video Well done 👍🏻
I had closure angle glaucomacan i be cured
I am not mean understand in english please in Hindi my request My proublum is 4 to 5 year first
Please galucoma treatment really is yes no
Yes
@@bikramraut3560 Eye Light proper is can right
Thank you doctor, 🤝